Individual provider Active NPI

Elizabeth A Callen-Pratt, LMHC

  • Counselor
  • Olean, NY
National Provider Identifier
1710180179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
000707-1 Issued in NY
Practice address
1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone
(716) 373-8040
Fax
(716) 373-4820
NPI assigned
Jun 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000707-1 NY Primary

Addresses

Primary practice location

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100

Mailing address

9545 County Road 7
County Rd 7
Cuba, NY 14727-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000707-1NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710180179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 COUNTY ROAD 7",
            "address_2": "COUNTY RD 7",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147279264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR",
            "address_2": "SUITE 4308",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040",
            "fax_number": "716-373-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEN-PRATT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "000707-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.